Organization
CAROUCEL KIM CHUATECO MD APC
Active
Organization
CAROUCEL KIM CHUATECO MD APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROUCEL KIM CHUATECO MD (PRESIDENT)
(213) 250-0235
Entity
Organization
Contact information
Practice address
1663 BEVERLY BLVD STE 101, LOS ANGELES, CA 90026-5747
(213) 250-0235
(213) 250-0439
Mailing address
1663 BEVERLY BLVD STE 101, LOS ANGELES, CA 90026-5747
(213) 250-0235
(213) 250-0439
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A85249
CA
207RC0000X
Cardiovascular Disease Physician
Primary
C25993
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0098610
—
CA
Enumeration date
07/15/2006
Last updated
09/11/2025
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